Strengthening Nursing Teams through Trust and Presence

Valerie Seccia is the Director of Nursing Services at Temple Health. Her career began at the bedside in the Medical ICU at Thomas Jefferson University Hospital, where she developed a passion for critical care and patient-centered nursing. Inspired by the challenges of the COVID-19 pandemic, Seccia transitioned into leadership to support and elevate frontline nurses. She has held progressive leadership roles, earned her Master of Science in Nursing and achieved Nurse Executive Advanced – Board Certification (NEA-BC), with her Doctor of Nursing Practice expected in December. Seccia brings a strong, evidence-based approach to leadership and is committed to building high-performing teams that improve patient and staff outcomes.

Through this article, Seccia shares her approach to nurse leadership grounded in trust, collaboration and a steady presence. She reflects on building resilient teams and creating a culture where nurses feel empowered to lead and thrive.

Staffing Challenges Are Constant: Morale Depends on Trust

Transparency, flexibility and genuine support go a long way when facing staffing shortages. I believe in being upfront with the team, acknowledging the strain, involving them in problemsolving and staying present on the unit. Strategies like cross-training, optimizing skill mix and using float pools can help address immediate gaps. But longterm success comes from retaining the people you have. That means investing in mental health, offering clear growth paths and ensuring staff feel seen and valued. Stay interviews are one of the most effective tools for that. When you truly meet people where they are, listen without judgment and build them up, morale and patient safety naturally follow.

Building Resilient Nursing Teams: It Begins With Partnership

It always starts with culture. In highacuity, high-pressure environments, nurses must feel safe speaking up, sharing ideas and learning without fear. That kind of psychological safety doesn’t come from top-down leadership but from partnership. When nurse leaders work alongside their teams, not above them, it builds mutual trust and shared accountability.

I focus on being present, listening actively and involving nurses in decisions that shape their daily lives. Over time, this builds resilience to weather crises and adapts quickly during surges, staff shortages or system-wide changes.

True resilience doesn’t form in the middle of chaos. It’s built steadily through relationship-based leadership that empowers nurses at the bedside and supports them with guidance from leadership. When that foundation is strong, teams perform better, stay engaged longer and face challenges with unity and confidence.

Balancing Compliance and Innovation: Regulation Should Inspire, Not Restrain

Regulatory standards lay the groundwork for safe, high-quality care, but don’t have to limit innovation. I see them as a starting point, not a ceiling. When leading performance improvement, I bring frontline staff, quality leaders and compliance teams to the table early. That collaboration helps us align new ideas with regulatory goals from the start.

Whether we’re focused on reducing hospital-acquired conditions or cutting readmissions, tying innovation to compliance builds trust, speeds up adoption and makes the change stick. It’s not about choosing one over the other; it’s about making both work together.

Driving Efficiency in Care: Start By Cutting Waste, Not Quality

Efficiency isn’t about cutting corners but removing what doesn’t add value. We regularly review workflows, staffing models and supply use to find areas of waste. Frontline staff play a key role in this process because they often know exactly where the gaps are and how to fix them.

At the same time, we invest in technology and evidence-based practices that reduce variability and strengthen consistency across units. Real efficiency comes from aligning our efforts with patient safety, satisfaction and clinical outcomes. When you focus there, both quality and cost improve together.

Advice for Aspiring Nurse Leaders: Growth Happens Outside Your Comfort Zone

Stay curious, stay grounded and never stop learning. Build a strong clinical foundation, but don’t hesitate to take on stretch roles, whether leading a project, joining a committee or returning to school. Leadership is shaped through challenge, not ease and stepping into the unfamiliar is where real growth happens.

Surround yourself with mentors who push you and teammates who share your values. See conflict as a chance to understand different perspectives. Learn to lead through influence, not just position and always keep patients and staff at the heart of every decision. Leadership is a service, showing up, adapting and continuing to grow.